| NPI | 1700995941 |
|---|---|
| Former Legal Business Name | OPTOMETRIC VISION CENTER |
| Entity Type | Organization |
| Authorized Contact | MONICA CARMONA Biller 575-526-3314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2023-11-27 |